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| Audiovisual |
Medical Mistakes: Dr. Oz Talks to Actor Dennis Quaid.
The Oprah Winfrey Show. March 10, 2009. |
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| Book/Report |
Pulse Report 2009: Safety Culture: Staff Perspectives on American Health Care.
South Bend, IN: Press Ganey Associates, Inc: 2009. |
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The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System.
Thompson WC Jr. New York, NY: Office of the New York City Comptroller, Office of Policy Management; 2009. |
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| Commentary |
A living will misinterpreted as a DNR order: confusion compromises patient care.
Katsetos AD, Mirarchi FL. J Emerg Med. 2009 Feb 12; [Epub ahead of print].
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CMS's hospital-acquired condition lists link hospital payment, patient safety.
Clancy CM. Am J Med Qual. 2009 Feb 19; [Epub ahead of print]. |
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Learning from defects to enhance morbidity and mortality conferences.
Berenholtz SM, Hartsell TL, Pronovost PJ. Am J Med Qual. 2009 Mar 3; [Epub ahead of print].
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Social aspects of clinical errors: a discussion paper.
Richman J, Mason T, Mason-Whitehead E, McIntosh A, Mercer D. Int J Nurs Stud. 2009 Feb 6; [Epub ahead of print]. |
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| Review |
Inpatient suicide: preventing a common sentinel event.
Tishler CL, Reiss NS. Gen Hosp Psychiatry. 2009;31:103-109. |
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| Study |
Errors in administration of parenteral drugs in intensive care units: multinational prospective study.
Valentin A, Capuzzo M, Guidet B, et al; Research Group on Quality Improvement of the European Society of Intensive Care Medicine (ESICM); Sentinel Events Evaluation (SEE) Study Investigators. BMJ. 2009;338:b814. |
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Health information technology and patient safety: evidence from panel data.
Parente ST, McCullough JS. Health Aff. 2009;28:357-360.
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Implementation of computerized physician order entry in seven countries.
Aarts J, Koppel R. Health Aff. 2009;28:404-414. |
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Inpatient suicide in a general hospital.
Cheng IC, Hu FC, Tseng MC. Gen Hosp Psychiatry. 2009;31:110-115.
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Relationship of hospital organizational culture to patient safety climate in the Veterans Health Administration.
Hartmann CW, Meterko M, Rosen AK, et al. Med Care Res Rev. 2009 Feb 24; [Epub ahead of print].
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Supporting structures for team situation awareness and decision making: insights from four delivery suites.
Mackintosh N, Berridge EJ, Freeth D. J Eval Clin Pract. 2009;15:46-54. |
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Work hours, work stress, and collaboration among ward staff in relation to risk of hospital-associated infection among patients.
Virtanen M, Kurvinen T, Terho K, et al. Med Care. 2009;47:310-318. |
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| Florida Meeting/Conference |
Hospital to Home: Optimizing the Transition.
Institute for Healthcare Improvement. June 15-16, 2009; Orlando, FL. |
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| Newspaper/Magazine Article |
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| Newspaper/Magazine Article |
Beware of basal opioid infusions with PCA therapy.
ISMP Medication Safety Alert! Acute Care Edition. March 12, 2009;14:1-3. |
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Reportable incidents.
Barishansky RM, Glick DE. EMS Magazine. March 1, 2009. |
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| Measurement Tool/Indicator |
Patient Engagement and Surgical Safety—Tool Development Survey.
World Alliance for Patient Safety, World Health Organization. |
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